Provider Demographics
NPI:1023222189
Name:DAFYIK HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:DAFYIK HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ONYEKWENA
Authorized Official - Suffix:
Authorized Official - Credentials:BBA, MBA, MCSE
Authorized Official - Phone:713-776-2266
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 375 D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:713-776-2266
Mailing Address - Fax:713-776-1166
Practice Address - Street 1:16023 WILLIWAW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5375
Practice Address - Country:US
Practice Address - Phone:281-980-9491
Practice Address - Fax:713-776-1166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0063435171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4573100001Medicare NSC